The starting point of a bending moment diagram is determined by sign conventions related to internal bending moments, which can vary by region. A bending moment is considered negative if it causes tension on the top of the beam, while positive indicates tension on the bottom. The discussion emphasizes that consistency in the chosen convention is crucial, whether clockwise or counterclockwise moments are defined as positive or negative. Additionally, the nature of the bending effect—hogging or sagging—plays a significant role in determining the sign of the moment. Understanding these conventions is essential for accurately interpreting bending moment diagrams.